小切口联合VSD治疗糖尿病并发下肢深部脓肿的体会

Small incision combined with VSD in treatment of diabetes mellitus complicated by deep abscesses of lower limb

目的：观察小切口联合持续负压封闭引流技术（VSD）治疗糖尿病并发下肢深部脓肿临床疗效。方法脓肿处小切口切开引流后行负压封闭引流持续吸引，当引出液为淡黄色血浆样时，并且连续3 d 小于10 ml/d，拆除负压装置，空腔创面红润无坏死组织，手术切口处行二期缝合，用弹性绷带加压包扎7∽10 d。结果21例患者全部痊愈出院，随访3个月，均无复发。结论小切口联合持续 VSD 治疗糖尿病并发下肢深部脓肿，具有引流彻底、创伤小、愈合快、减少患者痛苦等优势，临床疗效确切。

Objective To observe the clinical efficacy of small incision combined with vacuum sealing drainage （VSD）in treatment of diabetes mellitus complicated by deep abscesses of lower limb. Methods VSD was employed in the deep abscesses of lower limb after abscess incision drainage.VSD device was re-moved when the drainage fluid turned into light yellow （less than 10 ml/d in 3 consecutive days）.Then the wound were compressed with elastic bandage for 7∽10 d after secondary suture,while the wound became rud-dy without necrotic tissue. Results Twenty-one cases recovered.No recurrence was reported during three-month follow- up. Conclusion The small incision combined with VSD has accurate effect on diabetes complicated by deep abscesses of lower limb with advantages of thorough drainage,small invasion,shortened treating time and less pain.